The Business Side of Healthcare Blog
Discover comprehensive articles about the business side of chronic disease, medical advances, news and technology for health plans, providers, and employers
Articles
Medicare AI Reimbursement Breakthrough
Medicare might finally pay for AI that catches cancer earlier. Right now, AI tools that can spot tumors months before human eyes can see them sit unused in hospitals across America. Why? Medicare won't pay ...
700K Medicaid Records Exposed for Years
700,000 Medicaid patients just learned their data was public for 3 years. Illinois Department of Human Services accidentally published internal planning maps with patient data to a public website. The breach ran from 2021 to ...
FQHC Digital Transformation Success Story
This FQHC just proved digital transformation isn't just for big hospitals. Sun River Health serves 245,000 patients across New York. They're federally qualified, which means they see everyone, regardless of ability to pay. Last week ...
AI Breast Cancer Detection Breakthrough
Your mammogram just got 21.6% better at finding cancer. But here's the twist: patients don't trust AI alone. A groundbreaking study of 579,000 women just revealed that AI-supported breast cancer screening boosts detection rates by ...
CMS AI Reimbursement Breakthrough 2026
Medicare just cracked the code on AI reimbursement 🎯 For years, hospitals bought AI diagnostic tools that sat unused. Why? No billing codes. No payment pathway. No ROI. That changed this month. CMS rolled out ...
AI Detects Pancreatic Cancer 16 Months Early
97% vs 50%. That's AI beating radiologists at finding pancreatic cancer. Mayo Clinic just announced something extraordinary. Their new AI model detects pancreatic cancer 438-475 days BEFORE clinical diagnosis. That's over a year of lead ...
CMS Radiology Cuts Despite Medicare Boost
A 3.26% Medicare boost that's actually a 2% cut for radiologists? Yes, you read that right. CMS just dropped the 2026 Medicare Physician Fee Schedule, and the math doesn't add up the way you'd think. ...
Lung Cancer Screening Breakthrough
4% vs 72%. This gap is killing women. Only 4% of at-risk women get their recommended lung cancer screening. Yet 72% get their mammograms. Why the massive difference? Same population. Same risk factors. Same healthcare ...







